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NPI Code Detail

MEDICARE: WERNICKE CLINICAL GROUP

MEDICARE: WERNICKE CLINICAL GROUP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC1900XCounseling Psychologist
2111N00000XChiropractor
3225X00000XOccupational Therapist
4235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1063079226
Entity Type Code : Organization
Provider Name (Legal Business Name) : WERNICKE CLINICAL GROUP
Provider Business Mailing Address
First Line : URB ESTANCIAS DE LA FUENTE 141 CALLE NARDO
Second Line :
City : TOA ALTA
State : PR
Zip : 00953-3685
Country : US
Telephone Number : 787-223-7964
Fax Number :
Provider Business Practice Location Address
First Line : URB FLAMINGO TERRACE CALLE MARGINAL CARR 167 A-9
Second Line :
City : BAYAMON
State : PR
Zip : 00961-9998
Country : US
Telephone Number : 787-787-6944
Fax Number :
Authorized Official
Title or Position : SOLE OWNER
Name : BEGGY LIZ SANTIAGO-MERCADO
Credential : SLP
Telephone Number : 787-223-7964
Provider Enumeration Date : 05/23/2019
Last Update Date : 01/02/2026

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Directions to “WERNICKE CLINICAL GROUP ” Practice Location

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